Episcopal Church Home Of Minnesota - Saint Paul Nursing Home
General Information
UPDATEFederal Provider Number
245452
Provider Name
EPISCOPAL CHURCH HOME OF MINNESOTA
Provider Address
1879 FERONIA AVENUE
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
Provider Phone Number
(651) 646-4061
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EPISCOPAL CHURCH HOME OF MINNESOTA
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.91301
Reported LPN Staffing Hours per Resident per Day
0.75285
Reported RN Staffing Hours per Resident per Day
1.18089
Reported Licensed Staffing Hours per Resident per Day
1.93374
Reported Total Nurse Staffing Hours per Resident per Day
4.84675
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08577
Expected CNA Staffing Hours per Resident per Day
2.43650
Expected LPN Staffing Hours per Resident per Day
0.58922
Expected RN Staffing Hours per Resident per Day
0.91953
Expected Total Nurse Staffing Hours per Resident per Day
3.94525
Adjusted CNA Staffing Hours per Resident per Day
2.93357
Adjusted LPN Staffing Hours per Resident per Day
1.06049
Adjusted RN Staffing Hours per Resident per Day
0.95958
Adjusted Total Nurse Staffing Hours per Resident per Day
4.95197
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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